Organization Active NPI

Carolina Otolaryngology Consultants, PA

  • Specialist
  • Rocky Mount, NC
National Provider Identifier
1851340434
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAROLINA OTOLARYNGOLOGY CONSULTANTS, PA
Practice address
804 English Rd
Suite 200
Rocky Mount, NC 27804-6023
Phone
(252) 937-4100
Fax
(252) 937-4103
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Dillon Crawford, M.D.
Title
President
Phone
(252) 937-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

804 English Rd
Suite 200
Rocky Mount, NC 27804-6023

Mailing address

804 English Rd
Suite 200
Rocky Mount, NC 27804-6023
Phone (252) 937-4100

Other identifiers 1

IdentifierTypeStateIssuer
8901256MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1851340434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ENGLISH RD",
            "address_2": "SUITE 200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046023",
            "telephone_number": "252-937-4100",
            "fax_number": "252-937-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 ENGLISH RD",
            "address_2": "SUITE 200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046023",
            "telephone_number": "252-937-4100",
            "fax_number": "252-937-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OTOLARYNGOLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-937-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901256",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.